| NPI | 1205108057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NC 82124) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC 10117385) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |